scholarly journals Lower limb in the preparticipation examination (PPE)

2019 ◽  
Vol 67 (3) ◽  
Keyword(s):  
Risk Factors ◽  
Lower Extremity ◽  
Musculoskeletal Disorders ◽  
Clinical Examination ◽  
Lower Limb ◽  
Dynamic Testing ◽  
Joint Function

This article described the clinical examination of the lower extremity during a pre-participation screening in regard of sports ability, presence of injuries and musculoskeletal disorders as well as predisposing risk factors for injuries and prevention. It divided into global static and dynamic testing but also isolated analysis of joint function.

scholarly journals AN ALTERNATE MODALITY OF STRIPPING OF VARICOSE VEINS

2021 ◽  
Vol 9 (06) ◽  
pp. 735-738
Author(s):  
Khulem Stellone Singh ◽  
Midhun Chowdary Kothari ◽  
Shilpa Patankar ◽  
Pankaj Bansode
Keyword(s):  
Risk Factors ◽  
Clinical Examination ◽  
Lower Limb ◽  
Clinical Condition ◽  
Varicose Veins ◽  
Systemic Disease ◽  
Abdominal Pressure ◽  
Prolonged Standing ◽  
Below The Knee ◽  
Left Lower Limb

Varicose veins are very common clinical condition characterised by permanently dilated torturous elongated veins in the leg which is due to incompetence of valves. Risk factors being heredity, occupations of prolong standing, immobility, raised intra abdominal pressure, raised progesterone level, altered oestrogen-progesterone ratio etc. A 27 years old patient with no h/o any systemic disease or co morbidities came with complaints of dilated, tortuous veins in the left lower limb extending from mid-thigh to ankle region since 2 months. Since 1 month the patient was having dull aching pain over the left lower limb on walking and prolonged standing. A thorough clinical examination was done with findings of incompetent Sapheno-femoral junction(SFJ) and perforator incompetence of the left lower limb. A venous Doppler of the left lower limb revealed SFJ dilated and incompetent and Incompetent perforators along the GSV 5 cm below the knee. Following all routine preoperative work-ups, patient was posted for surgery. After ligating all the tributarirs of GSV, while checking the metallic stripper, it snapped in between and was not in a useable condition and there was no other metallic stripper in the OT. Decision had to be taken for an alternative the GSV was sucessfully stripped using a 14F Neltons catheter. Thus as an alternative to metallic stripper, a Neltons catheter can also be used for stripping varicose veins.

scholarly journals Lower Extremity Risk Factors in Iranian Adolescent Taekwondo Players

2020 ◽  
Vol 10 (1) ◽  
pp. 7-14
Author(s):  
Mostafa Zarei ◽  
◽  
Kamran Johari ◽  
Rahim Bagherian ◽  
◽  
...  
Keyword(s):  
Risk Factors ◽  
Lower Extremity ◽  
Incidence Rate ◽  
Significant Relationship ◽  
Lower Limb ◽  
Adolescent Male ◽  
Injury Incidence ◽  
Lower Limb Injury ◽  
Q Angle ◽  
Limb Injuries

Purpose: Taekwondo is a martial art and contact sport in which the athletes’ goal is to strike the opponent with maximal force. This fact exposes taekwondo practitioners to the permanent risk of injuries. Therefore, the current prospective study aimed to investigate the internal risk factors of lower extremity injuries in the adolescent male taekwondo players. Methods: In total, 60 adolescent taekwondo players of Iran Premier League voluntarily participated in this research. Before league commencement, navicular drop, Q angle, knee hyperextension angle, the dorsiflexion/plantarflexion range of motion, hamstring flexibility, and their dynamic balance were measured. Then, the injuries of these taekwondo players were recorded during the study time. Results: The injury incidence rate was 7.9 per 1000 hours of exposure (95% confidence interval, 5.33-10.40). The logistic regression analysis data indicated a significant relationship between the Q angle and injuries incidence rate (odds ratio=1.33, P=0.031). The taekwondo players whose Q angles were >14.5 degrees were 1.33 times more prone to lower limb injury. However, no significant relationship was observed between the other risk factors of the study cases and injuries incidence.  Conclusion: Regarding the research findings, the Q angle could predict lower limb injuries in the studied taekwondo players. Therefore, it is suggested that this index be considered in the preparticipation evaluation process and preventive strategies. 

Lower-extremity amputation. Incidence, risk factors, and mortality in the Oklahoma Indian Diabetes Study

Diabetes ◽  
1993 ◽  
Vol 42 (6) ◽  
pp. 876-882 ◽  
Author(s):  
J. S. Lee ◽  
M. Lu ◽  
V. S. Lee ◽  
D. Russell ◽  
C. Bahr ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lower Extremity ◽  
Lower Extremity Amputation ◽  
Incidence Risk ◽  
Extremity Amputation

scholarly journals Delivering Essential Surgical Care for Lower-limb Musculoskeletal disorders in the Low-Resource Setting

2021 ◽  
Author(s):  
Deeptiman James ◽  
Faye M. Evans ◽  
Ekta Rai ◽  
Nobhojit Roy
Keyword(s):  
Musculoskeletal Disorders ◽  
Lower Limb ◽  
Surgical Care ◽  
Central India ◽  
Orthopedic Procedures ◽  
Nerve Blocks ◽  
Low Resource ◽  
Resource Setting ◽  
Retrospective Audit ◽  
Essential Surgical Care

Abstract Background Mismatched surgeon-anesthesiologist ratios often exist in low-resource settings making safe emergency essential surgical care challenging. This study is an audit of emergency essential procedures performed for lower-limb (LL) musculoskeletal disorders (MSD) when an anesthesiologist was unavailable. It aims to identify strategies for safe anesthesia. Methods A 5-year retrospective audit of emergency essential LL orthopedic procedures performed at remote mission hospital in Central India was performed. Out of necessity, a regional anesthesia (RA) protocol was developed in collaboration with anesthesiologists familiar with the setting. The incidence of intraoperative surgical and perioperative anesthesia complications when RA was administered by a surgeon was evaluated. Results During this period, 766 emergency essential LL MSDs procedures were performed. An anesthesiologist was available for only 6/766. RA was administered by a surgeon for 283/766. This included spinal anesthesia (SA) for 267/283 patients, peripheral nerve blocks for 16/283. Local infiltration and/or sedation was administered to 477/766. There were 17 intraoperative surgical complications. Anesthesia-related complications included 37/267 patients who required multiple attempts to localize subarachnoid space and SA failure in 9/267 patients all of whom had successful re-administration. Additional sedation and infiltration of local anesthetic was required in 5/267 patients. Conclusion Remote pre-anesthesia consultation for high-risk patients, local surgeon-anesthesiologist networking, protocol-guided management, and dedicated short duration of training in anesthesia may be considered as an alternative for delivering RA for emergency essential surgery for LL MSDs due to unavailability of anesthesiologists.

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